Scapular protraction. Ipsilateral shoulder flexion Push up plus

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Lydia Joseph
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1 Exercise Progression: base on EMG evidence Rotator Cuff Musculature Supraspinatus Infraspinatus Subscapularis Exercise Mn Sd Exercise Mn Sd Exercise Mn Sd Supine PROM Forward bow Scaption in water slow Side-lying Elevation Water scaption slow Scaption slow Prayer position Towel slide Scaption fast T-band Supine Prayer Scaption in H20 fast Wash Cloth press-up, hands close on ball Forward punch Supine press-up Supine PROM Forward punch In water scaption slow Dusting Abduction on ball Side-lying Elevation IR low close Flexion Forward bow Quadruped position Rope/ Pulley IR at side Dusting T-bar IR mid Wedge press-up T-band Supine Military Press Rope/ Pulley Wedge press-up IR high T-bar elev. Standing Supine press-up Dynamic hug Tripod position Wall Taps Diagonal PNF Ball Rolls on wall apart Scaption IR Pointer position T-bar Ecc Rowing narrow grip Wall Walk 13 9 Quadruped Elevation ball toss 71 Push-up position Land scaption slow Water scaption fast Wall Walk Rowing middle grip Push-up feet elevated position Active Elevation Retraction Active Elevation Sh elev. onto step with ball Ball Rolls ER sidelying 25 Standing press-up 14 6 One arm push-up position On land scaption fast Standing press-up 1# (elevation) Ipsilateral shoulder 12 flexion Push up plus Ipsilateral step-up with ball and step (elevation) Seated rowing wide grip Water scaption fast

2 Supraspinatus Infraspinatus Subscapularis Scaption in ER (thumb up) Wall slide ball toss 3 41 ball (Decel) 3 25 Forward punch with elastic tubing Seated rowing wide grip Prone ER at ball (Accel) 31 Scaption ER (90- Tripod ) Scaption in ER (thumb up) Pointer PHA thumb forward Push-up Flexion ER arm at side Scaption in IR ( thumb down) Scaption IR to ER ( ) , (thumb up) 2 78 Push-up feet elevated Scaption IR to ER (30-60 ) Push up (hands together) Military press PHA thumb to head Scaption ER Scaption IR to ER(30-60 ) Flexion PHA IR Abduction PHA 100 ER 2 78 PER 2 80 ER on side One arm push-up PHA ER

3 Exercise Progression: Scapular Musculature and Middle Deltoid Serratus Anterior Lower Trapezius Medial Deltoid Exercise Mn Sd Exercise Mn Sd Exercise Mn Sd Supine PROM close Water scaption slow Forward bow Can press-up, supine Prayer Towel slide apart Forward bow Dusting Dusting Supine PROM T-band Supine T-band Supine Land scaption slow Side-lying Can press-up, elevated Elevation on wedge Quadruped close Supine PROM Towel slide Rope/ Pulley Forward bow apart Ipsilateral step-up, no ball with UE on ball on ball T-bar Towel slide close Can press-up, supine Ball Rolls Land scaption fast Sh elev. onto step with ball Wall Walk Side-lying Elevation Wall Walk Side-lying Elevation Can press-up, supine Can press-up, Ball Rolls standing T-band Supine Active Elevation Rope/ Pulley Tripod Wall Taps T-bar Dusting Unilateral Shrug T-bar Ecc Water scaption fast Standing press-up Ipsilateral step-up with ball and step Pointer (elevation) Wall slide Rope/ Pulley Arm elevation in line with lower trap Wall Taps ipsilateral step-up, no ball 22 7 Forward punch Active Elevation Wall Walk Bilat. Protraction ER sidelying 1 27 Wall slide Diagonal (flex, Ipsilateral shoulder ER at 90 Abd horiz.flex, ER) flexion Push up hands apart Prone ER at T-bar Unilat. shoulder press Unilateral row T-bar Ecc Knee push up plus (top to plus) Scaption < Ball Rolls Push up plus Horiz. Abduction Step-up with ball

4 Serratus Anterior Lower Trapezius Medial Deltoid Military press Flexion Wall Taps Scaption Scaption Standing press-up Scaption in ER Scaption above Push-up Serratus anterior punch Horiz. Abduction w/ ER Active Elevation Push-up feet Scaption > Rowing elevated Flexion Abduction One arm push-up Abduction Horiz. Abduction with ER Abduction Diagonal (Flex, hor.flex, ER) ER at 90 Abd Scaption ER Push up plus (top to Arm elevation in line plus) with lower trap Rowing Dynamic hug Military press Flexion PHA ER PHA IR Scaption IR Scaption IR to ER ( ) 4 85 Reference List (1) Ballantyne B, O'Hare S, Paschall J, Pavia-Smith M, Pitz A, Gillon JSG. Electromyographic activity of selected shoulder muscles in commonly used therapeutic exercises. Phys Ther 1993 Oct;73(10): (2) Blackburn TA, McLeod WD, White B, Wofford L. EMG analysis of posterior rotator cuff exercises. J Athl Train 1990;25:40-5. (3) Cordasco F, Wolfe IN, Wootten ME, Bigliani LU. An electromyographic analysis of the shoulder during a medicine ball rehabilitation program. Am J Sports Med 1996;24(3): (4) Debevoise NT, Hyatt GW, Townsend GB. Humeral torsion in recurretn shoulder dislocations. Clin Orthop Rel Res 1971;76: (5) Decker MJ, Hintermeister RA, Faber KJ, Hawkins RJ. Serratus anterior muscle activity during selected rehabilitation exercises. Am J Sports Med 1999;27(6): (6) Decker MJ, Tokish JM, Ellis HB, Torry MR, Hawkins RJ. Subscapularis muscle activity during selected rehabilitation exercises. Am J Sports Med 2003;31(1):

5 (7) Ekstrom RA, Donatelli RA, Soderberg G. Surface electromyographic analysis of exercises for the trapezius and serratus anterior muscles. J Orthop Sports Phys Ther 2003;33(5): (8) Gaunt B, Uhl TL, Humphrey L, Calico RM, McCluskey GM. Electromyography of shoulder and scapular musculature during exercise strengthen progression. J Orthop Sports Phys Ther 2004.(In Review) (9) Hintermeister RA, Lange G, Schultheis J, Bey MJ, Hawkins RJ. Electromyographic activity and applied load during shoulder rehabilitation exercises using elastic resistance. Am J Sports Med 1998;26(2): (10) Kelly BT, Roskin LA, Kirkendall DT, Speer KP. Shoulder muscle activation during aquatic and dry land excercises in nonimpaired subjects. J Orthop Sports Phys Ther 2000;30(4): (11) Lawson L, Klare K, Uhl TL. Electromyographic assessment of 13 shoulder rehabilitation exercises Ref Type: Unpublished Work (12) Moseley HF, Overgaard B. The anterior capsular mechanism in recurrent anterior dislocation of the shoulder; Morphologcial and clinical studies with special reference to the glenoid labrum and the gleno-humeral ligaments. J Bone Joint Surg Br 1962;44- B: (13) Moseley JB, Jobe FW, Pink M, Perry J, Tibone J. EMG analysis of the scapular muscles during a shoulder rehabilitation program. Am J Sports Med 1992;20((2)): (14) Reddy AS, Mohr KJ, Pink MM, Jobe FW. Electromyographic analysis of the deltoid and rotator cuff muscles in persons with subacromial impingement. J Shoulder Elbow Surg 2000 Nov;9(6): (15) Townsend H, Jobe FW, Pink M, Perry J. Electromyographic analysis of the glenohumeral muscles during a baseball rehabilitation program. Am J Sports Med 1991;19: (16) Uhl TL, Carver TJ, Mattacola CG, Mair SD, Nitz AJ. Shoulder musculature activation during upper extremity weight-bearing exercise. J Orthop Sports Phys Ther 2003 Mar;33(3):

Welcome to. Not to be copied without the express permission of EDUCATA. Copyright 2014 EDUCATA. All rights reserved. 1. How to Navigate EDUCATA

Welcome to. Not to be copied without the express permission of EDUCATA. Copyright 2014 EDUCATA. All rights reserved. 1. How to Navigate EDUCATA Welcome to Copyright 2014 EDUCATA. This presentation is not to be copied in whole or in part without the express permission of EDUCATA. How to Navigate EDUCATA The Shoulder Complex Mechanics, Muscle Function